Great Expressions Dental Centers of Texas, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GREAT EXPRESSIONS DENTAL CENTERS OF TEXAS, PLLC

Doing business as

Great Expressions Dental Centers

Practice address

1551 Highway 287 N
Ste. 411
Mansfield, TX 76063-8890

Phone

(248) 203-1100

NPI assigned

Oct 18, 2016

Last updated

Oct 18, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard Beckman

Title

Ceo

Phone

(248) 403-1100

Specialties & licenses 1

Addresses

Other names 1

• Great Expressions Dental Centers Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1205387909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29777 TELEGRAPH RD",
            "address_2": "STE. 3000",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341303",
            "telephone_number": "248-403-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 HIGHWAY 287 N",
            "address_2": "STE. 411",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638890",
            "telephone_number": "248-203-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT EXPRESSIONS DENTAL CENTERS OF TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "BECKMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-403-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Expressions Dental Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keely Nicole Grant-Mirle, DNP, APRN, FNP-BC
• Joan Grant, RN, BSN, CCM
• Nicole Reyes Grant, DMD
• Vincent Mark Graves, DDS
• Deshawndranique D Gray, M.D.
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• Brittany Green
• Jasmine Green

• Dentist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.